OrganizationActive
Lutheran Social Services of Illinois
NPI 1669645040 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Dixon, IL
Provider details
- NPI number
- 1669645040
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Jerry Noonan, Chief Financial Officer(847) 635-4600
- License
- 926169 (IL)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 926169 (IL)
Residential Treatment Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
314 S Ottawa Ave
Dixon, IL 61021-3150
Phone: (815) 288-4108
Fax: (815) 288-2934
Street-level locationGet directions
Mailing address
1001 E Touhy Ave
Des Plaines, IL 60018-5801
Other names (DBA / former)
- Other name
- Dixon Prader Willi Group Home
Registry dates
- Enumerated
- 2008-04-08
- Last updated
- 2008-04-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.